Chapter 530: Troubles after becoming famous, practical diagnosis
After finally waiting for his retirement as a senior official, he had just enjoyed a few years of happiness when his health suddenly began to deteriorate. If his right leg was amputated, it was unclear whether he could recover.
He immediately became a disabled person who could only travel in a wheelchair.
This old cadre has no history of smoking, no history of prostitution, and no special medical history, which shows that he takes good care of his health. As a cadre, social events and various drinking parties are inevitable.
Being able to not smoke and not engage in unclean behavior is definitely a breath of fresh air.
But things did not always go as planned. Even though he took such good care of his health, he was still plagued by strange diseases and suffered severely.
Now my right leg not only hurts during the day, but also hurts so much at night that it makes it difficult to fall asleep.
What’s even more terrifying is that the fourth toe of my right foot began to turn black and the pain became more severe.
He received two anti-infection treatments at the best local People's Hospital, and each time the pain was slightly relieved, but his condition remained serious. Later, he went to the Provincial People's Hospital for treatment. The best experts jointly consulted and continued to give him anti-infection treatment, but his condition still did not improve.
The expert's opinion was that because gangrene had occurred in the right foot, it would be best to amputate it to save his life.
This is to prevent harmful substances and toxins from flowing back through the blood and entering the entire body, causing sepsis, organ failure and other problems.
This expert was afraid of the crosstalk he saw on TV.
The patient's foot turned black, so he went to see a doctor. The doctor thought the condition was serious and needed to amputate the black toe. After a while, the patient went to see the doctor again and told the doctor that the other toes were also a little black.
The doctor recommended amputating the other toes as well.
After a while, the patient went to see the doctor again and told him that his feet were still black.
The doctor told the patient with a serious expression that the disease had spread above the ankle and the situation was very serious. The only way to save his life was to amputate the entire leg.
And prepare patients for the worst.
This means that if this amputation still cannot control the spread of the disease, the patient will have to prepare for his death.
At this time, the nurse who was helping the patient take off his socks noticed that his hands had turned black.
Exclaimed "Why are my hands turning black too?"
The patient and the doctor's eyes suddenly widened, and they looked at the black socks that had been taken off. It turned out that the socks had faded, causing the feet to turn black. The patient was immediately furious, and he raised his crutches to kill the quack doctor who had caused him to amputate five toes for no reason.
Although this is just a joke, such low-level mistakes rarely happen in reality.
However, there is still a possibility of misdiagnosis, which may lead to the patient having the wrong organ removed, or medical accidents in the hands or feet.
For example, if the patient needed surgery on his left leg, the doctor turned the patient over during the operation, and then he actually operated on the patient's right leg, which was originally intact.
Eventually, the patient woke up from anesthesia and discovered something was wrong, so he sued the hospital and the doctor involved.
The doctor involved also said aggrievedly that after the patient turned over, he did not remind her which leg needed surgery. This explanation is obviously weak and feeble. The doctor involved was severely punished.
This incident illustrates the importance of drawing surgical markings in advance during surgery.
If the doctor performing the operation or the nurse in charge of the patient's bed had done a more detailed job in the preoperative preparations, and the surgeon had known more about the situation before the operation, such ridiculous accidents would not have happened.
Zhou Can certainly wouldn't be like that careless doctor who easily snapped the patient's right leg.
He concentrated on studying the patient's condition.
The patient's body temperature is 36.5 degrees, which is the standard body temperature and is normal.
Pulse 81 beats/min, respiration 21 times/min, blood pressure 118/85mmhg.
These physical data are simply perfect.
It can also be seen that the patient takes special care of his body on a daily basis, and the effect is quite good.
At the age of 65, I still don't have basic diseases such as high blood pressure and chronic respiratory diseases. Many middle-aged and elderly people will basically have various diseases after the age of 50.
This is a natural aging process of the human body.
As we age, our body's metabolism slows down and our blood circulation deteriorates, especially the microcirculation in the distal limbs, which becomes increasingly worse.
The rate at which various toxins are excreted from the body slows down, and coupled with the continued aging of body cells, various diseases naturally arise.
This old cadre not only had excellent four basic physical signs, but also was conscious, his skin and mucous membranes were not jaundiced, and no superficial lymph nodes were palpable. All preliminary examination data showed that the patient was in good health.
"I want to go to the ward to see this old cadre, examine him again, and then check his spirit and the parts of his limbs that are affected."
Zhou Can said to Director Xueyan.
"No problem, I'll go with you now. I really hope that the cause of this old cadre's illness can be found out as soon as possible. I hope the dean will urge this matter very hard."
Director Xueyan must be under a lot of pressure from her superiors.
No matter which department, when such a distinguished patient comes, the department director is often the first to bear the pressure.
Because the dean usually assigns the task to the department head.
The department director then called together the department's experts to concentrate their efforts on treating the patient.
"It's clearly a disease in your right foot, why are you looking for our cardiothoracic surgery department to treat it?"
Zhou Can asked curiously.
Logically speaking, this old cadre should see an internal medicine doctor.
For example, endocrinology department and hematology department.
"The influence of your live surgery is so far-reaching! Now, any patient with a little bit of ability who comes to our hospital for treatment, regardless of whether their disease is related to cardiothoracic surgery, must be treated by our department. Generally, I will make a decision based on the actual situation. If it is a respiratory disease, then I will definitely let him go to the respiratory department for treatment! But you also know the rules of the hospital. Some patients cannot be turned away and can only be accepted."
Director Xueyan felt both annoyed and happy when she mentioned the hospital department becoming famous.
It is a supreme honor and an achievement that Tuya's cardiothoracic surgery department can flourish in her hands.
What is worrying is the various difficult cases and interpersonal relationships that come with becoming famous.
As the head of the department, no matter how busy she was, she had to take some time out every day to deal with those distinguished patients. People used various connections to ask her for help, which was something that rarely happened before.
Now it has become a daily routine.
Even some important people who she had wanted to meet but could not before now approached her and said hello with a smile.
Faced with this situation, she, a small department director, really couldn't afford to offend anyone.
"As doctors, we are afraid of encountering these ignorant patients! They don't know that doctors treat diseases in many areas. If it is not an area that the doctor is good at, his level may be worse than that of an ordinary resident!"
After listening to this, Zhou Can also smiled bitterly and shook his head.
Patients of ordinary status can be sent away directly.
For patients who have a certain status and are particularly stubborn, you can only use soft methods. You also have to be careful not to offend them.
This also made him realize that the status of doctors was much lower than he had imagined.
"This way, the patient is in the special ward."
“The treatment is really good!”
"Who said he's an old cadre? This kind of ward is either occupied by high-ranking officials or very wealthy people. This old cadre is very easy to serve. The last time an old man came, he was a retired deputy director, and he had a bad temper. Even when giving him injections or changing his dressings, he had to ask young and pretty nurses to serve him."
Xueyan would only pour out her grievances when talking to Zhou Can.
The forest is big and there are all kinds of birds.
" If there is a patient like this next time, let me take care of him."
Zhou Can really hates those male patients who remain dishonest while in hospital.
Nurses and female doctors should be given due respect. This is a hospital, not a brothel.
"Why, you want to send him away directly?"
She asked with a smile, tilting her head.
When she said sending the person away, she meant directly killing him.
When encountering particularly angry patients, many medical staff have this idea, but no one dares to actually implement it, nor will they do so.
The system is there. There is no need to sacrifice your future for a scumbag.
'Careless' care or diagnosis everywhere is the most common means of counterattack.
For example, a painkiller injection can be given by intravenous push. However, when encountering patients with unsteady hands and feet, nurses can use their small power of injection and dressing changes to directly put the painkiller into saline or glucose and hang an IV.
Hang it up for two or three hours and torture those dishonest scumbags to death.
"We are now in a society ruled by law. If someone abuses his power or does something unscrupulous to female nurses or doctors, it won't cost them their lives. But it's totally fine to give them a taste of bitterness. Good medicine tastes bitter. These people need to be cured not only of physical illnesses, but also of psychological illnesses."
"Haha, I feel relieved when you say that. Okay, next time there's a nasty patient like that, I'll leave it to you."
Director Xueyan rarely showed a happy smile.
After her divorce, she seldom smiled. She was originally a gentle and cheerful person, but a failed marriage almost made her depressed.
Fortunately, she was very busy at work during that period, which allowed her to divert her attention.
Now, as time goes by, the pain in her heart has been healed a lot.
"Sister Yan, you look pretty when you smile. You should smile more. Divorce is actually very common these days. I think your children are grown up now, so you can adjust your mentality and look for your own happiness."
Zhou Can took the opportunity to persuade her.
No one dared to say such things to her.
Only Zhou Can would care about her from the bottom of his heart and put himself in her shoes.
"Let's talk about this later! I don't have this idea now. Fortunately, my two children are doing well. They can understand my divorce from their father. Men are afraid of choosing the wrong career and women are afraid of marrying the wrong man. I understand this the most."
When she mentioned the misfortune in her marriage, her mood became noticeably lower.
Zhou Can didn't try to persuade him any further.
No matter whether it is a man or a woman, when fate comes, their heart will naturally beat fast.
At that time, there will be the urge of love.
"We're at the ward, let's go in!"
The two pushed the door and entered the special ward.
For Tuya Hospital, where hospital beds are always in short supply, this kind of special ward, which is similar to a small single room or double room, is an absolutely rare resource.
It was previously called the high-ranking cadres ward, but later because it affected social atmosphere, it was changed to the special ward or special needs ward.
In fact, its function is not much different from that of the high-ranking cadres ward.
There are two family members accompanying the patient in the ward. A special nurse is also required.
The old cadres still have a pretty high B-level.
The couple who were chatting with the patient were a middle-aged couple in their forties. The man was steady and dignified, and the woman was graceful and elegant. Whether it was their clothes or their temperament, they were obviously not ordinary people.
"Mr. Hu, are you okay? Is your right leg still painful?"
Director Xueyan greeted the patient with a smile.
At the same time, he nodded to the middle-aged couple as a greeting.
"Thank you Director Xue for your concern. I am fine in all other conditions except my right leg. After you gave me the infusion, the pain has eased. But I am not at ease. My daughter-in-law told me that pain is a dangerous signal sent by the body, telling the owner that the painful part of the body is undergoing serious disease. I am afraid that the use of painkillers will cover up the dangerous signals sent by the body, but the disease will continue to progress."
The old cadre spoke in a steady and logical manner.
And they are particularly sincere when communicating.
This is the accomplishment that people have acquired through years of practice.
In our daily life, we often find that when we talk to people of status or success, their conversation and personality are very charming. This is actually a specific manifestation of self-cultivation.
At the same time, it also incorporates their knowledge, insights, perceptions, etc.
It is difficult to ask a coolie who carries cement to say something profound and philosophical.
Because people struggle to make ends meet every day.
All I wanted was to carry a few more bags of cement and earn a dozen more dollars.
"This is Dr. Zhou Can, a senior elite in our cardiothoracic surgery department. The hospital takes your condition very seriously. After he came out of the operating room, he learned about your condition and came to the ward to give you a detailed physical examination."
Director Xueyan used the term "senior elite" when introducing Zhou Can's identity.
Under normal circumstances, senior experts are usually used.
Since Zhou Can has only been working for a short time, his academic qualifications have not been upgraded, and his achievements in papers can only be described as mediocre, calling him an expert would be a slap in the face of Zhou Can.
At present, it is more appropriate to use the term senior elite.
However, Zhou Can is also working hard silently.
Last time, he innovated a surgical method that did not require aortic replacement. Based on this, he has already started writing a related paper. After publication, according to Director Xueyan's conservative estimate, it will at least be selected for inclusion in an SCI medical journal.
It may even be selected for inclusion in the country's top national core medical journals.
SCI papers are world-class top journals, and it is difficult to be selected, but the gold content is quite good. However, for many reasons, national core medical journals are more valuable.
At least that's the case in the country.
Some medical papers can be selected for SCI, but cannot be selected for national core medical journals.
"Hello, Dr. Zhou! We have heard of your great name for a long time!" The old cadre did not look down on Zhou Can just because he was young.
